The American Urological Association (AUA), the premier urologic association providing support to the urologic community, is currently searching for a Payment Policy Analyst.
This position supports the research and analysis of all public and private insurer policies, particularly coverage and reimbursement policies, as well as coding and reimbursement related issues. Supports the research and analysis of regulatory activities on a state basis.
Reviews, tracks, and monitors all major private and public insurer coverage and reimbursement policies using multiple sources
Reviews policy change requests from private and public insurers to determine if the changes affect urologic disease treatments.
Monitors all Medicare Administrative Contractors for changes to medical directors and contact information. Maintains a database with all contacts as well as National Insurer Advisory Workgroup members.
Assists with research of denials of payment identified by AUA members.
Researches coding and reimbursement issues in any government regulations to determine effect on urology.
What we have to Offer
We strive to create a positive experience for employees through our commitment to effective talent acquisition and onboarding, talent management and career development, providing a positive working environment, and our focus on physical, mental, and financial wellness. We offer a highly competitive total compensation package that includes medical, dental, and vision insurance; discretionary contribution and 403(b) plans; generous leave program; paid holidays; sick leave; on-site gym; company-paid life, LTD, and STD insurance; beautiful facility; very generous contributions to continuing education and tuition reimbursement.
We welcome interested and qualified candidates to apply for this position by visiting our Career Center. No relocation is available for this position.
To be Successful
Candidate requirements are as follows:
Bachelor’s degree in public policy related area required.
Minimum of 5 years of direct experience in either coding and billing or insurance industry, including knowledge of claims processing, reimbursement policies and procedures, understanding of the processes and policies of insurers and medical claims coding.
Knowledge of healthcare insurance issues and healthcare policy. Understanding of state and federal insurance regulations and how they affect physician practice.
Experience in urologic coding a plus.
A current and valid coding certification through either the American Academy of Professional Coders or the American Health Information Management Association preferred.
Working at AUA is more than just being technically proficient. We also look for candidates who possess the following competencies:
Attention to Detail
About American Urological Association
About the American Urological Association: Founded in 1902 and headquartered near Baltimore, Maryland, the American Urological Association is a leading advocate for the specialty of urology, and has more than 22,000 members throughout the world. The AUA is a premier urologic association, providing invaluable support to the urologic community as it pursues its mission of fostering the highest standards of urologic care through education, research and the formulation of health policy.